Customer Service | Help | FAQ | Report a Data Error | About
Tip: You can request more content in your language…

PEP-Web Tip of the Day

Would you like more of PEP’s content in your own language?  We encourage you to talk with your country’s Psychoanalytic Journals and tell them about PEP Web.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Land, P. (2004). Thinking about Feelings: Working with the Staff of an Eating Disorders Unit. Psychoanal. Psychother., 18(4):390-403.

(2004). Psychoanalytic Psychotherapy, 18(4):390-403

Thinking about Feelings: Working with the Staff of an Eating Disorders Unit

Patricia Land

I would like to share with colleagues some thoughts about the fascinating and disturbing states of mind and body that I found when working in an Eating Disorders Unit, and try both to describe and to think further about how these impact on the work of the staff and upon my task.

Some recurrent themes are: splitting and projection, showing up in many areas as either/or states of mind, which can affect the whole team at times; the refusal to let anything in, which seems linked to disastrous unconscious muddles between food and love, love and hate, etc; a great unconscious terror that, given the slightest acknowledgment, need will emerge as greed; horror of fatness, and body dysmorphic confusions; enactment in place of feeling/thinking; antagonism to change and growth.

Despite common themes and ways of behaving that can make these patients seem superficially very alike, it is their differences that are so striking; it seems clear that there is unlikely to be a single identifiable precursor. We have to keep reminding ourselves that the search for meanings is not always the same as seeking after causes, and that neither is the same as blame, often a difficult balance to hold where splitting is so prevalent a defence.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2018, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.